| NPI | 1114199130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine Adolescent Medicine (Licence: AR E-15650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-15650) |
| 208000000X Pediatrics (Licence: AR E-15650) | |
| 208000000X Pediatrics (Licence: WI 53955) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2022-09-23 |